I am lucky with my PCP, she prescribes my pain meds. I have been dealing with rsd for almost 20 years and have seen a lot of doctors, specialist and tried many treatments. Early on most of the doctirs treated me like it was all in my head and wouldn't prescribe pain meds. My ortho would only prescribe a minimal amount of meds and would not refill narcotics. They were only given for after surgical procedures and then I was lucky to get 30. My current PCP is wonderful she referred me to PM who I saw and didn't like. All he wanted to do was put me on Lyrica which I didn't want to try because I had a bad reaction to Neurontin. He basically told me to come back when I decided to try Lyrica, I haven't been back. I have rsd in my lower extremities, hips and spine. It also effects my right arm and hand somewhat, I have color change and temp change in my hand and occassional burning in my hand but it is tolarable where the pain in my legs, hips, feet and spine is not. The PM also said he would do epidural injections if I wanted them, I am on coumadin for dvt and chronic veinous inefficiency and coming off coumadin and going back on is not a simple thing for me and would involve a hospital stay of a least a week so I have been hesitant to try the epidurals. I am stable on my current regimen of coumadin and don't want to mess that up going on and off or increase the risk of new clots by going off. I will be on coumadin for the rest of, my life because I have Factor V Leiden a blood disorder that makes you more suceptible to getting blood clots. My PCP prescribes everything for me and I am currently on Norco 7.5mg though have new script to increase to 10mg because pain levels are increasing. I'm also on Robaxin and Celebrex. I wenr many years without proper pain meds and I'm thankful my PCP is willing to pescribe enough pain meds for me and actually gives me enough for a month and not just 30 at a time. Talk to your PCP he/she should be the head of your team.